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General NPI Number Information
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NPI Number | 1508182502
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Entity Type | Individual
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Provider Name | COURTNEY MINNICK FAILOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 150 E SONTERRA BLVD STE 220
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4185
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Country | US
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Telephone | 210-337-8453
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Fax | 210-337-8452
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Provider Business Mailing Address
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Address Line | PO BOX 632593
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City | CINCINNATI
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State | OH
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Zip | 45263-2593
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | Q0910
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | Q0910
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License Number State | TX
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